nausea post colectomy

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ActiveUCer
Veteran Member


Date Joined Jul 2012
Total Posts : 1685
   Posted 9/6/2012 8:22 PM (GMT -6)   
I just had surgery a week ago. After I woke up, no nausea or anything. My family does tend to have nausea reactions to anesthesia, so I think they medicated me on the heavier end to prevent immediate nausea reactions.

On Tuesday I had a day of riding home (5 hour trip) and a clogged up ileo. I went back to a clear liquid diet for about 24 hours and am adding some softer foods - soups, white bread, saltines, pudding, scrambled eggs, protein shakes. Today I expanded to American cheese! My ileo seems to be working ok.

Since Tuesday, I am just nauseous ALOT to the point where I don't want to drink or eat. But I will still be starving at the same time and I know I need to drink. I haven't vomited or anything and there's decent output so I don't think I'm blocked.

Is the nausea a common problem? I plan to talk to my Dr.'s office tomorrow as I have a range of questions built up from this week, but I just wondered everyone's experiences.

dbtennessee
Regular Member


Date Joined Jun 2010
Total Posts : 117
   Posted 9/6/2012 9:46 PM (GMT -6)   
Are you on prednisone now? If so that can jack your apetite up higher and if your on pain meds every 4 hours that can make u nauseous esp if your not eating. They make me nauseous. As long as your not vomiting, running fever, and the stoma works i wouldnt worry too much. Your doc can get you some anti nausea meds too that will help as long as no undelying problem exists. Pred make me sooo humgry and pain meds made me slightly nauseous. Just a thought :) your real early out so unless your feeling bad or have any warning signs of serious complications you will probably be fine :) bottom line tho ask ur surgeon :)

God Bless!!!
UC diagnosis in 2008
tried EVERY drug available and failed
laparoscopic total colectomy with end ileostomy 8/2012
j-pouch undecided

blog: myulcerativecolitisstory.blogspot.com

ActiveUCer
Veteran Member


Date Joined Jul 2012
Total Posts : 1685
   Posted 9/6/2012 9:59 PM (GMT -6)   
Thanks! I'm not really taking pain meds consistently enough for them to be causing nausea (only at night at this point). For some reason I didn't even think about the fact that the Dr. could prescribe anti-nausea meds! I had them UC - duh!

I am doing a pred taper (I went in Wed of last week on 40 megs and they sent me home on Monday taking 20 megs!). I have a "drop 5mg every ten days" taper. I've been wondering how that drastic drop has been affecting me. I really pestered the nurse on that one...I had been on the IV drop down dose while in the hospital and the 20 was the next step down after that.

I definitely remember your story about the healing/ general unwellness/ adrenal malfunction with tapering too fast!
http://activeguts.wordpress.com/

Colectomy with end ileostomy August 30th, 2012 - jpouch sometime
Sitting at 20 mgs pred and dropping!

UC (refractory) sufferer diagnosed July 2011
One never ending flare
enemas, suppositories, Asacol, Lialda, and Colazal = worthless for me; Imuran/Azathioprine = bad liver and pancreas values; Remicade = Not very helpful; Paleo not helpful

Subzeromambo
Veteran Member


Date Joined Sep 2009
Total Posts : 1143
   Posted 9/6/2012 10:04 PM (GMT -6)   
Please ask your doctor for Zofran. It goes under your tongue and eliminates the nausea within 15 to 20 minutes. The generic form takes a little longer to start working but it is very reliable. I had lots of experience with nausea after the total colectomy and more recently two months after ileo reversal. It is hard to remember but I think it lasted two weeks after the colectomy. Turns out the anti-inflammatory (600 mg Tylenol) makes me nauseous.
The nurses always put cold wet cloths on the back of my neck--sometimes it helped relieve nausea but not always. I hope you feel better soon.
Diagnosed 1987 with lower left ulcerative colitis. Hospitalized often. Mega toxic pan colitis Dec. 1999. Perforated colon and total colectomy April 2011. First j-pouch surgery March 8, 2012. Six other damaged organs removed at that time. Ileostomy reversal June 26, 2012.

CrohnieCJ
Regular Member


Date Joined Jan 2011
Total Posts : 371
   Posted 9/6/2012 10:56 PM (GMT -6)   
 
I ended up with post-surgical ileus after my 2nd abdominal surgery within 13 months of the 1st one.  I had no problems after my 1st surgery, though.   My symptoms were like what you describe, but I did also have intermittent vomiting.   I never, ever, ever in my 50+ years had experienced the feeling of not being able to eat.   I was also starved, even though I could not eat hardly anything.
 
I ended up back in the hospital [not that you will] and they explained that with an abdominal surgery of this type that sometimes the small intestine goes to sleep and has trouble waking up.  I think they said pain meds [mine was oxycodone] can contribute to ileus and I did take more pain meds after my 2nd surgery and was not as active as I was after my 1st surgery.
 
I will add that I experienced a little of these symptoms prior to surgery and chocked it up to Crohn's symptoms.   I was also very, very weak, anemic, etc with my 2nd surgery, so that very well could have contributed to my issues, as well.
 
If you are not vomiting and are having output, can manage to keep some liquids going and walk as much as you can, hopefully it will work it's way out.   I would still mention it to your surgeon when you talk to them.
 
My surgical nurse told me that she experienced the not being able to eat after her abdominal surgery and it worked it's way out.   I think she said she did lots of broth and craved McDonald's milkshakes.
 
Good luck :-)
 
 

58 year old Grandma in the Buckeye State.
UC DX 2006 in 2007 DX was changed to Crohn's Colitis.
June 2010 had 10 inches of my colon removed due to a stricture.
Refused Remicade and Humira and opted for what I was certain would be my end result.
July 2011 had a proctocolectomy with permanent end ileostomy.
Got my life back with no regrets. Life is GOOD !!!

ddd45
Veteran Member


Date Joined Mar 2009
Total Posts : 569
   Posted 9/7/2012 9:44 AM (GMT -6)   
are you dehydrated? that can definitely cause nausesness. Maybe you can take some anti-nauseau meds and force yourself to start sipping electrylyte beverages like pedialyte.
good luck

ActiveUCer
Veteran Member


Date Joined Jul 2012
Total Posts : 1685
   Posted 9/7/2012 12:06 PM (GMT -6)   
Thanks all. I woke up this morning feeling alot better. My taste buds are still off so I'm not that excited about food, but I am not nauseous anymore. Yesterday I took several electrolyte pills and drank/souped it up as Gatorade seemed sickening. Dehydration probably contributed to how bad I was feeling.
http://activeguts.wordpress.com/

Colectomy with end ileostomy August 30th, 2012 - jpouch sometime
Sitting at 20 mgs pred and dropping!

UC (refractory) sufferer diagnosed July 2011
One never ending flare
enemas, suppositories, Asacol, Lialda, and Colazal = worthless for me; Imuran/Azathioprine = bad liver and pancreas values; Remicade = Not very helpful; Paleo not helpful

brian-legacy2
New Member


Date Joined Aug 2012
Total Posts : 13
   Posted 9/7/2012 2:30 PM (GMT -6)   
Can't drink gatorade after all the preps for colonoscopys and I have had no appetite and killer nausea since my surgery a month ago. Hoping it goes away.
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